Organization
COUNTY OF UNION
Active
Other names
Union County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH A BURNS (COUNTY TREASURER)
(618) 833-2871
Entity
Organization
Contact information
Practice address
204 W MISSISSIPPI ST, JONESBORO, IL 62952-0037
(618) 833-2871
(618) 833-6201
Mailing address
204 W MISSISSIPPI ST, PO BOX 37, JONESBORO, IL 62952-0037
(618) 833-2871
(618) 833-6201
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
55125
IL
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590001833
RAILROAD MEDICARE
IL
01
—
9170724
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
10/05/2006
Last updated
03/22/2021
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